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Program Manager, Medicare Stars & Quality Improvement (Remote)

Molina Healthcare

Remote · USJob$66–138K/yrSeen todaySeen in employer's feed today

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At a glance

Compensation
$66–138K/yr
Location
Remote · US
Work Authorization
Not specified

Olive lists jobs from US employers, including remote roles you can work from the United States.

Job overview

The Program Manager provides subject matter expertise and leadership for Care Connections, Medicare Stars, and quality improvement programs. The role plans and implements initiatives and education programs to support improved Medicare Star ratings, and leads enterprise, departmental, cross-functional, and health plan projects from design through completion and outcomes measurement. It also supports quality improvement across all lines of business.

Skills & qualifications

RequiredNice to have

Skills

Medicare Star Ratings, requiredQuality Improvement, requiredQuality Metrics, requiredGovernment-Sponsored Programs, requiredPerformance Measure Development, requiredBusiness Writing, requiredStrategic Thinking, requiredData Analysis, requiredData Manipulation, requiredData Interpretation, requiredReporting, requiredData-Driven Decision-Making, requiredCritical Thinking, requiredProblem-Solving, requiredAnalytical Skills, requiredAttention to Detail, requiredOrganizational Skills, requiredProcess Improvement, requiredChange Management, requiredIndependent Work, requiredCross-Functional Collaboration, requiredProject Management, requiredVerbal Communication, requiredWritten Communication, requiredPresentation Skills, requiredMicrosoft Office, requiredExcel, requiredSix Sigma Black Belt, nice to haveITIL, nice to haveCross-Functional Leadership, nice to have

Qualifications

6+ Years Medicare Stars Program and Project Management Experience or Equivalent Education and Experience, requiredMedicare Stars Program Experience, nice to haveSignificant Cross-Functional Leadership Experience, nice to have

Full job description

Job Summary

Provides subject matter expertise and leadership for Care Connections, Medicare Stars and quality improvement (QI) programs/activities. Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare Star ratings. Responsible for leading and managing Medicare Star projects and programs involving enterprise, department, cross-functional and health plan teams of subject matter experts, delivering impactful quality improvement initiatives through design process to completion and outcomes measurement.

Essential Job Duties

  • Collaborates with cross-functional corporate and health plan teams on the development and implementation of enterprise Medicare Stars quality improvement (QI) programs and initiatives across the enterprise.

  • Manages, plans and executes Medicare Star ratings programs.

  • Supports Stars program execution and governance needs; communicates, measures outcomes and develops initiatives to improve Star ratings.

  • Serves as the Medicare Stars subject matter expert to corporate functional areas/health plans, and leads programs to meet critical needs.

  • Communicates and collaborates with health plans and Stars measure owners to analyze and transform needs and goals into functional requirements to maximize improvement opportunities.

  • Leads health plan leadership discussions to provide recommendations, performance results and opportunity assessments for Medicare Stars improvement.

  • Collaborates with operational leaders within the business to provide recommendations on opportunities for

process improvements, organizational change management, program management and other processes related to Medicare Star ratings.

  • Facilitates process improvement, organizational change management, program management and other processes relative to the Medicare Stars Program.

  • Plans and directs schedules for program initiatives, as well as program budgets.

  • Develops, defines, and executes plans, schedules, and deliverables; monitors programs from initiation

through delivery through outcomes measurement.

  • Monitors and tracks key performance indicators (KPIs), programs and initiatives to reflect the value and effectiveness of Stars and QI programs.

  • Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documents.

  • Monitors projects from inception through delivery and outcomes measurement.

  • May engage and oversee the work of external vendors.

  • Generates and distributes quality improvement/Medicare Stars standard reports timely.

  • Supports Quality Improvement across all lines of business.

Required Qualifications

  • At least 6 years of Medicare Stars program and project management experience, or equivalent combination of relevant education and experience.

  • Demonstrated knowledge of and experience with Medicare Star ratings and QI programs.

  • Advanced knowledge of the quality discipline, including metrics and performance standards.

  • Experience with government-sponsored programs (Medicaid, Medicare, Marketplace).

  • Experience developing performance measures that support business objectives.

  • Solid business writing experience.

  • Strong strategic-thinking skills.

  • Strong proficiency with data analysis, manipulation, interpretation, reporting and data-driven decision-making.

  • Critical-thinking, problem-solving and analytical skills.

  • Attention to detail and organizational skills.

  • Ability to implement process improvement initiatives and drive change.

  • Ability to work independently in a fast-paced, deadline-driven environment.

  • Ability to work in a cross-functional highly matrixed organization.

  • Strong project management experience.

  • Excellent verbal, written, and presentation communication skills.

  • Microsoft Office suite (including Excel), and applicable software programs proficiency, and ability to learn new information systems and software programs.

Preferred Qualifications

  • Strong Medicare Stars/quality improvement (QI) program experience.

  • Six Sigma Black Belt Certification.

  • ITIL (Information Technology Infrastructure Library) certification.

  • Experience in leading significant cross-functional work.

  • Strong project management experience.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $65,791.66 - $137,548.59 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

How this job compares

Set against the 11,142 open Program Manager jobs on Olive Jobs, counted November 10, 2026.

Pay
  • This posting$66–138K/yr
  • US median$120–202K/yr8,741 salary ranges

This range's midpoint, $102K, is 37% below the US median midpoint ($161K) — in the lowest quarter of Program Manager salary ranges across the US.

Openings
Olive Jobs lists 11,142 open Program Manager jobs across the US. 5% of them nationwide are listed as remote or flexible.
Hiring the most across the US
Experience
This posting asks for at least 6 years of experience; Program Manager postings that state a minimum ask for 6 years at the median (9,608 postings).
Education
4,401 of the 11,142 open Program Manager jobs (39%) ask for a bachelor's degree or higher.

Counted across the open, public US postings on Olive Jobs on November 10, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.

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